NDC 904043004
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
doxycycline hyclate 100 mg Tab
Reported by 4 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$8
Median
$8
High
$14
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Laredo Texas Hospital Company LP | Laredo, TX | $2 | $3 | $1 | — | $2 | $36 |
| 2 | Westchester Medical Center | Valhalla, NY | $14 | $14 | — | — | $4 | $14 |
| 3 | Mid Hudson Regional Hospital | Poughkeepsie, NY | $14 | $14 | — | — | $4 | $14 |
| 4 | Hillsdale Hospital | Hillsdale, MI | $0 | $0 | — | — | $0 | $5 |
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